Higher body mass index is associated with lower foot health in patients with rheumatoid arthritis: baseline results of the Amsterdam-Foot cohort

Dahmen, Rutger; Konings-Pijnappels, A.; Kerkhof, S; Verberne, S.K.; Boers, Maarten; Roorda, Leo D.; Leeden, M. van der

doi:10.1080/03009742.2019.1663920

Cited by 8 publications

(5 citation statements)

References 42 publications

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“…Three participants (P1, P3, P7) had identical weights and thus similar applied loads, but their BMIs differed as did the model results. Individuals with both RA and increased BMI experience increased pain, MTP joint swelling, activity limitation, and in-shoe pressures but little change to barefoot pressures ( Dahmen et al, 2020 ). Thus, restricting the foot within a shoe caused more issues for those with higher BMIs, who may already be adversely affected due to higher loads going through the foot ( Mickle and Steele, 2015 ).…”

Section: Discussionmentioning

confidence: 99%

“…Another consideration is inclusion of the shoe. Despite evidence that shoe uppers also affect soft tissue loading ( Woodburn and Helliwell, 1996 ; Dahmen et al, 2020 ), most studies only include the sole ( Chen et al, 2003 ; Spirka et al, 2014 ; Chen et al, 2015 ; Telfer et al, 2017 ). Other studies have evaluated FO behavior without including the shoe ( Cheung and Zhang, 2005 ; Zhang et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

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Predicting Forefoot-Orthosis Interactions in Rheumatoid Arthritis Using Computational Modelling

Worsley

Bowen

Cherry

et al. 2021

Front. Bioeng. Biotechnol.

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Foot orthoses are prescribed to reduce forefoot plantar pressures and pain in people with rheumatoid arthritis. Computational modelling can assess how the orthoses affect internal tissue stresses, but previous studies have focused on a single healthy individual. This study aimed to ascertain whether simplified forefoot models would produce differing biomechanical predictions at the orthotic interface between people with rheumatoid arthritis of varying severity, and in comparison to a healthy control. The forefoot models were developed from magnetic resonance data of 13 participants with rheumatoid arthritis and one healthy individual. Measurements of bony morphology and soft tissue thickness were taken to assess deformity. These were compared to model predictions (99th% shear strain and plantar pressure, max. pressure gradient, volume of soft tissue over 10% shear strain), alongside clinical data including body mass index and Leeds Foot Impact Scale–Impairment/Footwear score (LFIS-IF). The predicted pressure and shear strain for the healthy participant fell at the lower end of the rheumatoid models’ range. Medial first metatarsal head curvature moderately correlated to all model predicted outcomes (0.529 < r < 0.574, 0.040 < p < 0.063). BMI strongly correlated to all model predictions except pressure gradients (0.600 < r < 0.652, p < 0.05). There were no apparent relationships between model predictions and instances of bursae, erosion and synovial hypertrophy or LFIS-IF score. The forefoot models produced differing biomechanical predictions between a healthy individual and participants with rheumatoid arthritis, and between individuals with rheumatoid arthritis. Models capable of predicting subject specific biomechanical orthotic interactions could be used in the future to inform more personalised devices to protect skin and soft tissue health. While the model results did not clearly correlate with all clinical measures, there was a wide range in model predictions and morphological measures across the participants. Thus, the need for assessment of foot orthoses across a population, rather than for one individual, is clear.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Predicting Forefoot-Orthosis Interactions in Rheumatoid Arthritis Using Computational Modelling

Worsley

Bowen

Cherry

et al. 2021

Front. Bioeng. Biotechnol.

View full text Add to dashboard Cite

show abstract

“…Additionally, in a recent study conducted by Dahmen et al. [ 34 ], it was found that a higher BMI was associated with poorer foot health in patients with rheumatoid arthritis. As a high BMI is a modifiable factor, the implications of this finding may be relevant in clinical practice.…”

Section: Discussionmentioning

confidence: 99%

Determinants of pain and activity limitations in foot osteoarthritis: An exploratory cross-sectional study in the Amsterdam-foot cohort

Ryman

Esch

Dekker

et al. 2021

Osteoarthritis and Cartilage Open

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“…PwRA are motivated to care for their feet; however, they are unsure of their skills and knowledge of how to properly provide such care [ 15 ]. In addition to skills and knowledge, some physical factors, such as obesity [ 16 ], poor eyesight and decreased manual dexterity [ 17 ] may affect foot self-care. Foot self-care in this study refers to activities that an individual performs on his or her feet, including daily foot hygiene, skin and nail care, use of suitable and correct sized footwear and socks and lower-limb exercises [ 18 ].…”

Section: Introductionmentioning

confidence: 99%

Foot self‐care competence reported by patients with rheumatoid arthritis: a cross‐sectional study

Laitinen

Pasanen

Wasenius

et al. 2022

Journal of Foot and Ankle Research

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Background Foot self-care is important for preventing foot problems and maintaining one’s foot health. Foot self-care requires competence to identify foot problems, knowledge and skills to care for those problems, and a willing attitude to care for one’s foot health. However, there is major gap in the research evidence of foot self-care competence among patients with rheumatoid arthritis. This study aimed to analyse self-reported levels of competence in foot self-care among patients with rheumatoid arthritis. Methods A cross-sectional study design was used. Data were collected using a survey consisting of a self-reported competence in foot self-care competence scale (response options on 5-point Likert scale, higher values indicate higher competence) and background questions. The data were analysed with descriptive and inferential statistics and the psychometric properties of the scale using Rasch analysis. Results The participants’ (n = 251) self-reported level of competence in foot self-care was moderate (mean 3.50, standard deviation [SD], 0.66). On the sum variable level, the highest mean score was for attitude towards foot self-care (3.98; SD, 0.69), followed by foot self-care knowledge (3.45; SD, 0.67) and experience providing foot self-care (3.38; SD, 0.69). Higher self-reported foot self-care knowledge and female sex were associated with higher self-reported competence in every sum variable. Conclusions Patients with rheumatoid arthritis evaluated their level of competence in foot self-care as moderate and some deficiencies were identified. These results indicate the importance of educating patients with rheumatoid arthritis about how to advance their foot self-care skills and knowledge. In the future, patients with rheumatoid arthritis could benefit from interventions that increase their knowledge of foot self-care together with practical examples, such as online videos, that demonstrate the practical conduct of foot self-care skills in daily life.

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Higher body mass index is associated with lower foot health in patients with rheumatoid arthritis: baseline results of the Amsterdam-Foot cohort

Cited by 8 publications

References 42 publications

Predicting Forefoot-Orthosis Interactions in Rheumatoid Arthritis Using Computational Modelling

Predicting Forefoot-Orthosis Interactions in Rheumatoid Arthritis Using Computational Modelling

Determinants of pain and activity limitations in foot osteoarthritis: An exploratory cross-sectional study in the Amsterdam-foot cohort

Foot self‐care competence reported by patients with rheumatoid arthritis: a cross‐sectional study

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